Individual
CARRIE A. BERTELLOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN ACNP-BC
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 717-4910
Mailing address
601 N 30TH ST, ST. 3700, OMAHA, NE 68131-2137
(402) 717-4910
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
111478
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111478
APRN LICENSE
NE
Enumeration date
04/09/2013
Last updated
05/20/2014
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